Published by on August 22, 2021
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Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice. Slipped capital femoral epiphysis (SCFE) is an condition of the proximal femoral physis that leads to slippage of the metaphysis relative to the. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the.

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This is called the physis, and it’s made out of cartilage, which is weaker than bone.

Slipped capital femoral epiphysis

Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are seen in Figure B. Normally, the head of the femurcalled the capital, should sit squarely on the femoral neck.

American Academy of Orthopaedic Surgeons. How important is this topic for clinical practice? No one knows for sure what causes SCFE. Case 4 Case 4. Radiographs are taken and shown in Figures A and B.

Slipped capital femoral epiphysis SCFE or skiffyslipped upper femoral epiphysisSUFE or souffycoxa femorsl adolescentium is a medical term referring to a fracture through the growth plate physiswhich results in slippage of the overlying end of the femur metaphysis.

The risk of reducing this fracture includes the disruption of the blood supply to the bone. National Institute of Health.

Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.

Which of the following is associated with the radiographic abnormality seen in Figure B? It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation.


SCFE is the most fejoral hip disorder in adolescence. In 65 percent of cases of SCFE, the person is over the 95th percentile for weight. However, the dose required for the examination means that it should not be used unless absolutely necessary.

Si continua navegando, consideramos que acepta su uso. Therefore the head of the femur is usually pinned ‘as is’. Thank you for updating your details. A good, stable connection at your hip joint is what lets you walk, run, make that jump shot, and shake it on the dance floor.

She has no complains in the hips. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. SCFE is more common in guys, though girls can have it too. Case 7 Case 7. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views.

Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis) (para Padres)

The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. One in five cases involve both hips, resulting in epifisiolidis on both sides of the body. The pain and the limp typically tend to come and go, worsening with activity and getting better with rest.

A small incision is made in the outer side of the upper thigh and metal pins are placed through the femoral neck and into the head of the femur.

Slipped Capital Femoral Epiphysis (SCFE) (for Teens)

The left hip epigisiolisis more often affected than the right. They’re also more likely to require additional surgery to take care of the hip. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.


All information is for educational purposes only. How would you treat this patient? Not everyone can prevent SCFE.

Case 1 Case 1. Tell us what you think about our website – send an email to webmaster chp.

Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)

The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Currently, osteosynthesis using a single cannulated screw is the preferred procedure. In other projects Wikimedia Commons. It has been shown in the past that attempts epofisiolisis correct the slippage by moving the head back into its correct position can cause the bone to die.

Read epifisiokisis from our kids. MRI can be used to examine the contralateral hip which epifidiolisis important because of the high incidence of bilateral slip. Forceful manipulation is not indicated because it is associated with an increased risk of complications. Unable to process the form. The knee is investigated and found to be normal. She has 2 years of activity-related left hip pain and pain with prolonged sitting.

SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females. Prevalence, Pathogenesis, and Natural History”. Which of the following vessels gives the greatest blood supply to the femoral head?

So if you need help figuring out how to start on a safe diet femogal exercise plan, talk to your doctor.